- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,495.30 / $38,352.60 / $50,074.70
| Facility | | $18,495.30 | $38,352.60 | $50,074.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,023.79 / $93,786.86
| Facility | | $5,840.42 | $35,023.79 | $93,786.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,670.50 / $35,832.64 / $54,143.55
| Facility | | $21,670.50 | $35,832.64 | $54,143.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,886.03 / $50,886.03 / $50,886.03
| Facility | | $50,886.03 | $50,886.03 | $50,886.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,222.95 / $36,098.16 / $55,744.03
| Facility | | $31,222.95 | $36,098.16 | $55,744.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,023.79 / $93,786.86
| Facility | | $5,840.42 | $35,023.79 | $93,786.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,023.79 / $73,295.25
| Facility | | $5,840.42 | $35,023.79 | $73,295.25 |